Isolated Bilateral Fourth Cranial Nerve Palsies as the Presenting Sign of Hydrocephalus
Midbrain lesions leading to bilateral fourth nerve palsies are typically accompanied by other brainstem symptomatology. Here we report a case of a 29-year-old man with hydrocephalus and significant third ventricle dilation applying pressure on the dorsal midbrain and having as the only manifestation...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2011-07-01
|
| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/330336 |
| _version_ | 1819236896791855104 |
|---|---|
| author | Dimosthenis Mantopoulos David G. Hunter Dean M. Cestari |
| author_facet | Dimosthenis Mantopoulos David G. Hunter Dean M. Cestari |
| author_sort | Dimosthenis Mantopoulos |
| collection | DOAJ |
| description | Midbrain lesions leading to bilateral fourth nerve palsies are typically accompanied by other brainstem symptomatology. Here we report a case of a 29-year-old man with hydrocephalus and significant third ventricle dilation applying pressure on the dorsal midbrain and having as the only manifestation isolated, bilateral fourth cranial nerve palsies. This finding, reported here for the first time, could be attributed to a partially working ventriculoperitoneal shunt previously placed in this patient, which was able to sporadically relieve the increases of the intraventricular pressure on the midbrain that would normally lead to other manifestations. |
| first_indexed | 2024-12-23T13:11:43Z |
| format | Article |
| id | doaj.art-46117eea458640abb406459b26582a71 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-23T13:11:43Z |
| publishDate | 2011-07-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-46117eea458640abb406459b26582a712022-12-21T17:45:43ZengKarger PublishersCase Reports in Ophthalmology1663-26992011-07-012221121410.1159/000330336330336Isolated Bilateral Fourth Cranial Nerve Palsies as the Presenting Sign of HydrocephalusDimosthenis MantopoulosDavid G. HunterDean M. CestariMidbrain lesions leading to bilateral fourth nerve palsies are typically accompanied by other brainstem symptomatology. Here we report a case of a 29-year-old man with hydrocephalus and significant third ventricle dilation applying pressure on the dorsal midbrain and having as the only manifestation isolated, bilateral fourth cranial nerve palsies. This finding, reported here for the first time, could be attributed to a partially working ventriculoperitoneal shunt previously placed in this patient, which was able to sporadically relieve the increases of the intraventricular pressure on the midbrain that would normally lead to other manifestations.http://www.karger.com/Article/FullText/330336StrabismusTrochlearHeadacheSylvian aqueduct |
| spellingShingle | Dimosthenis Mantopoulos David G. Hunter Dean M. Cestari Isolated Bilateral Fourth Cranial Nerve Palsies as the Presenting Sign of Hydrocephalus Case Reports in Ophthalmology Strabismus Trochlear Headache Sylvian aqueduct |
| title | Isolated Bilateral Fourth Cranial Nerve Palsies as the Presenting Sign of Hydrocephalus |
| title_full | Isolated Bilateral Fourth Cranial Nerve Palsies as the Presenting Sign of Hydrocephalus |
| title_fullStr | Isolated Bilateral Fourth Cranial Nerve Palsies as the Presenting Sign of Hydrocephalus |
| title_full_unstemmed | Isolated Bilateral Fourth Cranial Nerve Palsies as the Presenting Sign of Hydrocephalus |
| title_short | Isolated Bilateral Fourth Cranial Nerve Palsies as the Presenting Sign of Hydrocephalus |
| title_sort | isolated bilateral fourth cranial nerve palsies as the presenting sign of hydrocephalus |
| topic | Strabismus Trochlear Headache Sylvian aqueduct |
| url | http://www.karger.com/Article/FullText/330336 |
| work_keys_str_mv | AT dimosthenismantopoulos isolatedbilateralfourthcranialnervepalsiesasthepresentingsignofhydrocephalus AT davidghunter isolatedbilateralfourthcranialnervepalsiesasthepresentingsignofhydrocephalus AT deanmcestari isolatedbilateralfourthcranialnervepalsiesasthepresentingsignofhydrocephalus |